Provider Demographics
NPI:1073928297
Name:ROBINSON, NANCY L (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:L
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:R
Other - Last Name:MAIMIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:321 BROXTON RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3532
Mailing Address - Country:US
Mailing Address - Phone:410-241-7070
Mailing Address - Fax:
Practice Address - Street 1:321 BROXTON RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3532
Practice Address - Country:US
Practice Address - Phone:410-241-7070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical